Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,318.26 / $1,479.11	Facility		$363.08	$1,318.26	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $363.08 / $436.52	Professional		$147.91	$363.08	$436.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $52.48 / $109.65	Facility		$17.38	$52.48	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $501.19 / $575.44	Professional		$446.68	$501.19	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $436.52 / $489.78	Facility		$363.08	$436.52	$489.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $407.38 / $416.87	Professional		$371.54	$407.38	$416.87